Provider Demographics
NPI:1689875155
Name:COWEN, SANDRA RAWLINSON (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:RAWLINSON
Last Name:COWEN
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 MERIWETHER RD
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-1717
Mailing Address - Country:US
Mailing Address - Phone:334-281-8889
Mailing Address - Fax:
Practice Address - Street 1:300 INTERSTATE PARK DR STE 324
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-5468
Practice Address - Country:US
Practice Address - Phone:334-272-0313
Practice Address - Fax:334-272-0448
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00001225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist